Glushakov A.I. New «Russian demographic cross»: reasons and prospects........................................................5
Shishkin E.V. The role of alcohol in population’s mortality from injuries and some other effects of external causes (after the example Chelyabinsk region)..................................................................................................9
Bogdanova T.G., Ivanov A.G., Gerasimova L.I. The evaluation of the reproductive capacity in Chuvash Republic municipalities .....................................................................................................................................16
HEALTH OF ECONOMICALLY ACTIVE POPULATION
Shaikhlislamova E.R., Urazaeva E.R., Volgareva A.D., Karimova L.K., Gimranova G.G., Gimaeva Z.F. Functional changes in the cardiovascular system among mineral extraction workers .....................................24
Bogdanova T.G., Smirnova T.L., Zhuravleva N.V., Barsukova E.V., Ivanova M.L. Neoplasms as the reason of morbidity and mortality of working age population in the Chuvash Republic in 2011–2016 .......30
HEALTH PROTECTION OF ELDERLY
Cherkasov S.N., Kirtadze I.D. The impact of life priorities on the self-assessment of the health of the population of senior age groups........................................................................................................................40
ECONOMICS OF PUBLIC HEALTH
Lindenbraten A.L., Grishina N.K., Saitgareev R.R., Znachkova E.A., Gridnev O.V. Modern legal basis of per capita financing of primary health care in different regions of the Russian Federation ..........................44
Perepelova O.V. Modern issues of improving of the system of health services’ provision to the population in the state healthcare institution on a paying basis .........................................................................................49
EDUCATION AND PERSONNEL
Karimova D.Yu., Zakalsky V.A., Shamurzaeva M.M. Acmeological conditions and factors of effective transition to the system of continuous medical education.................................................................................54
Zadneprovskaya A.N., Kapitonenko N.A. The system of motivational and value orientations of interns and residents according to sociological survey data.........................................................................................58
ETHICS-LEGAL ASPECTS OF HEALTH CARE
Romanov S.V. Revisiting the question of the importance with due consideration for opinions of the rela- tives of posthumous donor: analyzing the experience of foreign countries and public opinion of Rus- sian society .......................................................................................................................................................62
INFORMATION SUPPORT OF HEALTH CARE
Sadykov Ch.Z. Application of social media in healthcare.....................................................................................67
Tairova R.T., Berseneva E.A., Sedov A.A. Possible criterions of content-related integrity of medical records within the framework of the creation of the documents’ lexical analysis system..................................75
ORGANIZATION AND IMPROVEMENT OF PROTECTION
SYSTEM MANAGEMENTOF PUBLIC HEALTH
Zimina E.V., Vasilyeva E.P., Mayorova O.Yu. Importance of cross-cultural expertise in provision of effective management in healthcare sphere .....................................................................................................79
Tarasova E.V., Kochegura T.N., Alexandrushkina N.A., Gabbasova L.A., Akopyan Zh.A. Complex approach towards modernization of healthcare system and update of priority research areas in EU to reply to global socio-economical pressures..................................................................................................83
NEW «RUSSIAN DEMOGRAPHIC CROSS»: REASONS AND PROSPECTS
Alexander I. Glushakov, MD, Assistant Professor of public health and healthcare organization sub-faculty of FSBEI HE «Kazan State Medical University» of Health Ministry of Russia [420012 Kazan, Butlerov str., 49,
tel. (846) 236-08-81;
]
Abctract. The purpose of the work was to note the demographic development. Predicted data about volume of birth
rate and death-rate in Russian Federation till 2050, including Tatarstan Republic till 2035, calculation and comparison
of crude birth-rate (CBR) and crude death-rate (CDR) are presented. Waves of demographic war’s echo (DVE) are
imposed upon the change of birth rate in Russia; the modern fall in level of CBR became the result of the 3-d wave
of DVE. The evolution of death-rate of Russians is accompanied by its decrease because of balancing of the age
structure of the population. New «demographic cross» (or excess of CDR over CBR) signifies the beginning of the new
period of natural decrease, which will be at fall in the birth-rate against the decrease of death-rate that corresponds to
demographic transition (DP) in contradiction to 1992–2013. The 3-d wave of DVE is imposed upon the vector of the
worldwide demographic development, especially on the 5-th phase of DP in which our country has entered. Probably,
the natural decrease of the population will be changed by weakly positive increase in 25 years in Russian Federation,
and in 17–19 years in Tatarstan Republic.
Key words: «russian demographic cross», the common index of birth-rate and death-rate, demographic war’s echo,
demographic transition.
THE ROLE OF ALCOHOL IN POPULATION’S MORTALITY FROM INJURIES AND SOME OTHER EFFECTS OF EXTERNAL CAUSES
(after the example Chelyabinsk region)
Evgeny V. Shishkin, Ph.D. in Medicine, Assistant of the public health and healthcare sub-faculty of Additional Professional
Education Institute «South Ural Federal Medical University» of Health Ministry of the Russian Federation, Director of State
Budget Professional Educational Institution «Troitsk Medical College» [457100 Troitsk, Klimov str., 17;
]
Abstract. The article analyzes the cases of violent death, including the poisoning with ethyl alcohol. 31 791 acts (all
people died from external causes) of the forensic medical examination of the corpse and the conclusions of forensic
experts have been studied. Sex and age groups of the risk of mortality from poisoning with ethyl alcohol were determined.
The most pronounced tendency of the increase of mortality from poisoning with ethyl alcohol is observed among men in
the age group of 35–39 years. Mortality stabilizes in the up-coming age groups with a growth wave in the age groups of
50–54 years, 55–59 years, and reaching a peak age of 60–64 years. Mortality from poisoning by age group among women
(in contrast to men) is less; the rare cases are registered in the age group of 25–29 years, and the peak indicator falls on
the age groups of 55–59 years and 60–64 years.In order to organize preventive measures and improve the medical care
at injuries, poisonings and some other consequences of external factors, it must be taken into account that ethyl alcohol
is not only a direct cause of death of the population, but also a leading factor in all violent deaths. More than half of the
lethal cases from external causes in the victims revealed alcohol in the blood. The concentration of ethyl alcohol in the
blood of the dead shows a growth trend, increasing from 2,31‰ in 2012 to 3,15‰ in 2017. The traditional prevalence of
the average content of ethyl alcohol in the blood of dead men has outstripped the female since 2015.
THE EVALUATION OF THE REPRODUCTIVE CAPACITY IN CHUVASH REPUBLIC MUNICIPALITIES
Tatiana G. Bogdanova, Ph.D. in Medicine, Deputy head physician of Medical Center «Raduzhny» [428000 Cheboksary,
Raduzhnaya str. 12, tel. 8-927-667-56-60;
] Andrey G. Ivanov, Doctor of Engineering [42800031 Cheboksary, M. Gorky av., 31–233, tel. 8-906-388-75-15;
]
Ludmila I. Gerasimova, MD, Professor, head of public health and healthcare sub-faculty of State Autonomous
Institution of Additional Professional Education «Physician’s Continuing Education Institute» of Health Ministry
of the Chuvash Republic [428018 Cheboksary, M. Sespel str., 27, tel. (8352)-62-66-37;
]
Abstract. The purpose of the study was the development of math model of the reproductive capacity evaluation of
municipalities of the region. The math model of the reproductive capacity evaluation is developed using cluster, correlation,
regression analyses after the example of Chuvash Republic. The vector-scalar functional is defined and calculated
for the first time. It describes the reproductive capacity of the region and municipalities in detail. The results of math
model and multi-factor analysis makes possible to see that the birth rate in Chuvashia depends on the proportion of
fertile women, abortion rate, fetoinfantile mortality rate, morbidity in children of 1 year old, the mortality rate of working
population, the incidence of pregnant women. However, the impact of risk factors on the reproductive capacity differs in
the municipalities of Chuvash Republic. It is possible to set any configuration of the vector-scalar capacity and calculate the optimizing criteria of functional, which is the indicator of reproductive capacity of municipality of the region in the
created math model.
Key words: region reproductive capacity, reproductive capacity of municipalities, reproductive health, risk factors.
FUNCTIONAL CHANGES IN THE CARDIOVASCULAR SYSTEM AMONG MINERAL EXTRACTION WORKERS
Elmira R. Shaikhlislamova, Ph.D. Medicine, deputy head physician in treatment of Ufa Occupational Health and Human Ecology Institute [450106 Ufa, Kuvykin str., 94; tel. (347) 255-30-57;
] Elvira R. Urazaeva, Ph.D. Medicine, head of functional research methods department of Ufa Occupational Health and Human Ecology Institute [tel. (347) 255-45-75;
] Alfiya D. Volgareva, Ph.D. Medicine, senior researcher of Ufa Occupational Health and Human Ecology Institute [tel. (347) 255-30-57;
] Lilia K. Karimova, MD, Professor, chief researcher of Ufa Occupational Health and Human Ecology Institute [tel. (347) 255-57-21;
] Galina G. Gimranova, MD, deputy director for scientific and organizational and methodical activity of Ufa Occupational Health
and Human Ecology Institute [tel. (347) 255-19-03;
] Zulfia F. Gimaeva, Ph.D. Medicine, Associate Professor of therapy and occupational diseases sub-faculty of Bashkir State
Medical University of Health Ministry of Russia [450008 Ufa, Lenin str., 3; tel. (347) 255-57-21;
]
Abstract. The purpose of the work was the study of functional state of the cardiovascular system in mineral extraction
workers. The state of the blood circulation system was examined using Holter heart rate monitoring with the assessment
of heart rate variability, daily blood pressure monitoring in 52 oil extraction workers (the first group) and 45 mineral workers (the second group). Ventricular and supra-ventricular extrasystole was recorded at the workers of the first group at Holter
heart rate monitoring. Paroxysms of supraventricular tachycardia, atrial fibrillation, and group ventricular extrasystole were
found at workers of the second group. There was a decrease in the general heart rate variability. The predominance of the
sympathetic nervous system activity was revealed against the background of a low level of vagal influence among mineral
extraction workers. Indicators of the daily profile of blood pressure, in particular, the SBP, as well as the level of DBP at
night were higher than in the comparison group. The results of the study show that workers with functional disorders of
the cardiovascular system should be referred to the risk group of developing diseases of the circulatory system with the
implementation of recreational activities.
Key words: mineral extraction workers, cardiovascular system, Holter monitoring of the heart rhythm, daily monitoring
of hypertension, heart rate variability.
NEOPLASMS AS THE REASON OF MORBIDITY AND MORTALITY OF WORKING AGE POPULATION IN THE CHUVASH REPUBLIC IN 2011–2016
Tatiana G. Bogdanova, Ph.D. Medicine, Deputy head physician of Medical Center «Raduzhny» [428000 Cheboksary,
Raduzhnaya str. 12; tel. 8-927-667-56-60;
] Tatyana L. Smirnova, Ph.D. Medicine, Associate Professor of obstetrics and gynecology sub-faculty of I.N. Ulyanov
Chuvash State University [428000 Cheboksary, Moscow av. 15; tel. 8-927-845-84-21;
] Nadezhda V. Zhuravleva, Ph.D. Medicine, Associate Professor of internal disease sub-faculty of I.N. Ulyanov Chuvash
State University [428000 Cheboksary, Moscow av., 15; tel. 8-903-358-71-78;
]
Elena V. Barsukova, Ph.D. Medicine, Head physician of Republican Clinical Hospital of Health Ministry of Chuvashia
[428000 Cheboksary, Moscow av. 9; tel. 8-9227-668-52-51;
] Marina L. Ivanova, head of the editorial and publishing department of Physicians’ Continuing Education Institute of Health Ministry of Chuvashia [428000 Cheboksary, Sespel str., 27; tel. 8-835-262-66-37;
]
Abstract. The purpose of the work was to study the morbidity and mortality rates from malignant neoplasms of the
working-age population in the Chuvash Republic in 2011–2016. The materials were: official statistical data according to
form No 7 «Data on malignant neoplasms» in 2011–2016, data about the distribution of deaths from malignant neoplasms
by sex and age (form No 5) of Rosstat and Chuvashstat. The article presents special aspects in morbidity and mortality from malignant neoplasms among working age population in the Chuvash Republic compared with those in the Russian
Federation and the Volga Federal District. The analysis of changes in mortality patterns among working age population in
2016 compared to those in 2002 is carried out. The dynamics of detectability of malignant neoplasms during preventive
periodic examinations has been presented. Detectability of malignant neoplasms in the breast, in the cervix, in the uterine
body, in the ovaries at early stages of tumorous process has increased through the use of integrated prevention and early
detection of reproductive system’s tumors in the period from 2002 to 2016 within the framework of a number of federal
and regional targeted programs.
Key words: malignant neoplasms, mortality, morbidity, early detectability, working age.
THE IMPACT OF LIFE PRIORITIES ON THE SELF-ASSESSMENT OF THE HEALTH OF THE POPULATION OF SENIOR AGE GROUPS
Sergei N. Cherkasov, MD, Head of public health research department of N.A. Semashko National Public Health
Research Institute [105064 Moscow, Vorontsovo Pole str., 12/1;
] Irakly D. Kirtadze, Deputy head physician for surgical service of Hospital for War Veterans No 1 Healthcare
Department of Moscow [109044 Moscow, 2nd Dubrovsky str., 13;
]
Abstract. The study focuses on the health status of the population of senior age groups. Purpose of the study is the
analysis of the impact of life priorities on the self-assessment of the health of the population of senior age groups. The
anonymous survey of 967 people was conducted. The mean age of participants of survey was (71,08±1,3) years. The
author’s questionnaire suggested to define priorities. The study did not allow us to obtain convincing results about the
influence of the hierarchy of life priorities on the self-assessment of health, both in men and women. Health as a vital
value is most significant when the level of health is reduced, whereas at a high level it is not considered as a goal, for the
attainment of which it is necessary to change behavior.
Key words: health status, life priorities, self-assessment of the health.
MODERN LEGAL BASIS OF PER CAPITA FINANCING OF PRIMARY HEALTH CARE IN DIFFERENT REGIONS OF THE RUSSIAN FEDERATION
Alexander L. Lindenbraten, MD, Professor, head of scientific direction, head of department of economic research in healthcare of N.A. Semashko National Public Health Research Institute [105064 Moscow, Vorontsovo Pole str., 12/1;
] Natalia K. Grishina, MD, leading researcher of department of economic research in healthcare of N.A. Semashko
National Public Health Research Institute [
] Ruslan R. Saitgareev, Director of Healthcare and Pharmacy Department of Yaroslavl Region [150000 Yaroslavl,
Sovetskaya str., 11/9;
] Elena A. Znachkova, Deputy head of primary healthcare unit of Healthcare Department of Moscow [127006 Моscow,
Oruzheiny court, 43;
] Oleg V. Gridnev, МD, Head physician of Moscow Municipal Clinical Hospital No 3 [124617 Моscow, Zelenograd, Chestnut
alley, 2, building 1;
,
]
Аbstract. The purpose of the study was to study the regulatory legal basis governing the use of the per capita financing
mechanism and to carry out the analysis of its implementation in different regions of the Russian Federation. The sources
of information were: scientific publications and normative legal acts on the problem under study, internal normative legal
documentation of polyclinics, «Collection of Moscow average basic indicators of the activities of healthcare institutions
of Moscow Healthcare Department» in 2010–2014, «Collection of performance indicators of treatment and prophylactic
institutions of Moscow Healthcare Department in the administrative districts» in 2010–2014. The following methods were
used: study and generalization of experience, analytical, statistical, etc. In general, the analysis of the implementation of the per capita financing mechanism in the regions of the Russian Federation demonstrates a significant variety of indicators
used to assess the effectiveness of healthcare institutions providing primary health care.
Key words: primary health care, effectiveness evaluation, per capita financing.
MODERN ISSUES OF IMPROVING OF THE SYSTEM OF HEALTH SERVICES’
PROVISION TO THE POPULATION IN THE STATE HEALTHCARE INSTITUTION
ON A PAYING BASIS
Oksana V. Perepelova, Head of the contract department for the provision of health services on paying basis
in M.F. Vladimirsky Moscow Regional Scientific Research Institute [129110 Moscow, Shchepkin str., 61/2;
]
Аbstract. The purpose of the study was to study some issues of improving health services to the population on paying
basis in the state healthcare institution. Sources of information (research materials) were: scientific publications and
normative legal acts on the problem under study, internal regulatory legal documentation and the results of sociological
survey. The following methods were used: study and generalization of experience, analytical, sociological, etc. The study
of the opinions of patients who applied for health services on paying basis in M.V. Vladimirsky Moscow Regional Scientific
Research Institute was conducted according to special questionnaire. The article is dedicated to the problems arising
during the organization of health services on paying basis in state healthcare institution.
Key words: health services on paying basis, quality of organization of medical care, sociological research.
ACMEOLOGICAL CONDITIONS AND FACTORS OF EFFECTIVE TRANSITION TO THE SYSTEM OF CONTINUOUS MEDICAL EDUCATION
Dania Yu. Karimova, MD, Professor of public health and healthcare sub-faculty of A.I. Burnazyan Federal Medical Biophysical
Center of Federal Medical Biological Agency of Russia [123182 Moscow, Zhivopisnaya str., 46; tel. 8(495)753-46-75;
] Vyacheslav A. Zakalsky, Director – Head physician of AO «Medical Center» Zenit-Medservice» [143403 Krasnogorsk,
Sovetskaya str.,9; 8(985)761-99-82;
]
Madina M. Shamurzaeva, Head physician of Central Hospital at the station Gudermes of OAO «Russian Railways»
[366208 Chechen Republic, Gudermes, Kh. Isaev str., 38; tel. 8(871)522-25-60;
]
Abstract. The purpose of the research was to study the professional opinions of medical workers, to determine the
range of issues that require their priority decision during the transition to the system of continuing medical education. We
interviewed 86 physicians-retrainees of Biomedical University of Innovation and Continuing Education of Federal State
Budgetary Institution «Burnazyan Federal Medical Biophysical Center» of FMBA of Russia (Moscow), employees of AO
«Medical Center «Zenit-Medservice» (Krasnogorsk in Moscow Region) and Central Hospital at Gudermes station of
OAO «Russian Railways» (Chechen Republic). Content analysis of literary sources on philosophy, psychology, sociology
and the organization of healthcare was carried out. First of all, it was noted that the transition to the system of continuing
medical education is inevitably accompanied by stress – emotional, mental. The authors consider the trainee as a person
with the integration of biological, mental, social process. All this is part of the components of the concept of professional
development. Effective transition to the system of continuous medical education requires a number of activities, such as
planning and organizing staff training, primarily from the doctors themselves – change of mentality with acmeological positions, professional self-determination together with personal self-determination, its development as a process of
forming the inner world in the educational process of continuing medical education.
Key words: continuing medical education, acmeological conditions.
THE SYSTEM OF MOTIVATIONAL AND VALUE ORIENTATIONS OF INTERNS AND RESIDENTS ACCORDING TO SOCIOLOGICAL SURVEY DATA
Alexandra N. Zadneprovskaya, postgraduate student of public health and healthcare organization sub-faculty of Far Eastern
State Medical University of Health Ministry of the Russian Federation [680000 Khabarovsk, Muraviev-Amursky str., 35; tel. 8-914-319-43-19;
] Nikolay A. Kapitonenko, MD, Professor, Head of public health and healthcare sub-faculty of Far Eastern State Medical
University of Health Ministry of the Russian Federation [tel. 8-(4212)-76-13-96;
]
Abstract. A sociological survey of the group consisting of 200 people was conducted. The purpose of this study was
to identify motivational and value orientations of interns and residents of Far Eastern State Medical University. A group of
residents and interns responded to a questionnaire consisting of several blocks, which included standard questions such
as gender, age, place of residence (city/countryside), admission and training at Medical University. The questionnaire
contained questions about the reason for choosing the University, the completeness of the volume and availability of
information received at the University during training, evaluation of its quality. Participants of the sociological survey have
answered the questions of the proposed (desired) specialization. The questionnaire addressed the issues of wages,
availability of housing, or the prospects of its preferential obtention, working conditions and the state (availability) of the
infrastructure of the area (city, village, remote areas of the region). The survey period included 2016–2017. The study
involved 60 men and 140 women with an average age of (23,3±1,5) years. According to the results of the study, 81,5% (163)
of respondents chose the specialty of physician consciously, 1% (2) considered studying at Medical University prestigious,
8% (16) decided to continue the dynasty, 9,5% (19) of respondents found it difficult to answer why they decided to link
their life with medicine. The majority of interns and residents 94,5% (189) plan to continue their work in the health care of
the region after graduation. 65,5% (131) plan to work in the outpatient clinic, 39% (78) – in the hospital and 3% (6) want
to combine work in the hospital and in the outpatient clinic.
Key words: Human resources, quality of medical care, medico-social and economic policy, health care institution,
healthcare system resources, profitability, professional skills, employment, demographic parameters.
REVISITING THE QUESTION OF THE IMPORTANCE WITH DUE CONSIDERATION
FOR OPINIONS OF THE RELATIVES OF POSTHUMOUS DONOR: ANALYZING
THE EXPERIENCE OF FOREIGN COUNTRIES AND PUBLIC OPINION OF RUSSIAN SOCIETY
Sergey V. Romanov, MD, director of Privolzhsky District Medical Center of Federal Biomedical Agency of the Russian
Federation [603001 Nizhny Novgorod, Nizhny-Volzhskaya nab., 2;
]
Abstract. The article examines the problem of the participation of the relatives of posthumous donors in the decision
making regarding organ donation. The author has analyzed the legislation of the countries realizing the programs of
organ transplantation. It was found that each state carries out the decision regarding the necessity to receive consent
of the relatives of posthumous donor taking into consideration the religious or ethical aspects in case of the absence
of special directions in international documents. The author has done a survey of three groups of respondents and has
made a conclusion about the practicability of extending the will expression of the relatives of posthumous donors in the
legal system of our country.
Key words: organ donation, consent of relatives.
APPLICATION OF SOCIAL MEDIA IN HEALTHCARE
Chingiz Z. Sadykov, Bachelor of general sociology sub-faculty of social sciences faculty of National Research
University «Higher Economics School » [101000 Moscow, Myasnitskaya str., 20;
]
Abstract. This article examines the opportunities of social media integration into the Russian healthcare industry. The
authors learned the experience of foreign researchers in this area. The article describes the potential importance of social
media for the industry, healthcare institutions and patients, as well as limits of these communication channels. The article
analyzes relevant cases from the practice of leading foreign specialists, the advantages and disadvantages of application
of social media in the medical field. The authors make the conclusion about the necessary background and opportunities
for social media integration into the information infrastructure of Russian Healthcare.
Key words: social media, public health, modernization, healthcare, information technologies, IT-based managament,
mass media.
OSSIBLE CRITERIONS OF CONTENT-RELATED INTEGRITY OF MEDICAL RECORDS WITHIN THE FRAMEWORK OF THE CREATION
OF THE DOCUMENTS’ LEXICAL ANALYSIS SYSTEM
Raisa T. Tairova, Assistant Professor of neurology, neurosurgery and medical genetics sub-faculty of general medicine faculty
of Pirogov Russian National Research Medical University of Health Ministry of Russia [117997 Moscow, Ostrovitianov str., 1;
] Evgenia A. Berseneva, MD, Head of Higher and Additional Professional Education Center of N.A. Semashko National Research
Institute of Public Health [105064 Moscow, Vorontsovo Pole str., 12/1;
]
Alexander A. Sedov, Senior Researcher of Lomonosov Moscow State University, Medical Research and Education Center
[119991 Moscow, Leninskie Gory str., 1;
]
Abstract. The purpose of the study was the creation of possible criterions of content-related integrity of medical records
to improve the quality of medical care. Database and software for implementation of lexical and semantic analysis of medical
records have been developed. More than five thousand medical records have been analyzed using 30 criterions according
to regulatory documents of HM of RF. The audit showed that 87,5% of documents contained the defects of formalized
approach upon several criterions. The creation of the interface for primary data processing in medical and non-medical
vocabularies allowed making the expert processing of the content. The use of the created system of lexical control will
increase the volume of quality control in medical records and improve its quality and efficiency.
Key words: quality of medical care, examination, defects, lexical control, medical information system, epicrisis.
IMPORTANCE OF CROSS-CULTURAL EXPERTISE IN PROVISION OF EFFECTIVE MANAGEMENT IN HEALTHCARE SPHERE
Elvira V. Zimina, MD, Professor, Deputy chief of Federal Scientific and Practical Training and Continuous Development
Center for Healthcare Managers on basis of public health and health care sub-faculty of A.I. Evdokimov Moscow State
University of Medicine and Dentistry of Health Ministry of Russia [101000 Moscow, Milyutinsky lane, 19/4, building 2;
tel. 8 (495) 621-89-43;
]
Evgenia P. Vasilyeva, Ph.D. in Pedagogical Sciences, methodologist of Federal Scientific and Practical Training and Continuous
Development Center for Healthcare Managers on basis of public health and health care sub-faculty of A.I. Evdokimov Moscow
State University of Medicine and Dentistry of Health Ministry of Russia [tel. 8 (495) 621-89-43;
] Olga Yu. Mayorova, economist of Federal Scientific and Practical Training and Continuous Development Center for Healthcare
Managers on basis of public health and health care sub-faculty of A.I. Evdokimov Moscow State University of Medicine
and Dentistry of Health Ministry of Russia [tel. 8 (495) 621-89-43;
]
Abstract. The aim of this study is the determination of the influence of cross-cultural competence of the healthcare
institution’s leader on process of relationship management in the field of healthcare. The modern head of healthcare
institution (HI) communicates with superior organizations, colleagues, partners and patients with their relatives, forming
the unified professional environment of HI. Recognition of the importance of interlocutor’s personal values and tolerance
become indispensable features of communication in such a socially sensitive industry as healthcare. Educational module
for healthcare leaders aimed at improving the personal and professional communication skills has been included in the program of professional education of leading healthcare staff at public health and healthcare sub-faculty of A.I. Evdokimov
Moscow State University of Medicine and Dentistry of Health Ministry of Russia since 2017. The result of the educational
module is the development of practical skills of communication with representatives of different cultures in HI that form
the corporate culture of HI and improve the quality and safety of the medical activity in general.
COMPLEX APPROACH TOWARDS MODERNIZATION OF HEALTHCARE
SYSTEM AND UPDATE OF PRIORITY RESEARCH AREAS IN EU TO REPLY TO GLOBAL SOCIO-ECONOMICAL PRESSURES
Elena V. Tarasova, Academic secretary, Ph.D. in Economics, faculty of fundamental medicine of Lomonosov Moscow State
University; Senior researcher of research programs and innovation technologies department of Medical Research and Education
Center of Lomonosov Moscow State University [119991 Moscow, Lomonosovsky av., 27, b.10;
] Tatiana N. Kochegura, MD, Senior researcher of research programs and innovation technologies department of Medical
Research and Education Center of Lomonosov Moscow State University [
]
Natalya A. Alexandrushkina, Research assistant of gene-cell therapy laboratory of Regenerative Medicine Institute, Medical
Research and Education Center of Lomonosov Moscow State University; postgraduate student, fundamental medicine faculty
of Lomonosov Moscow State University [
] Lyalya A. Gabbasova, MD, Head of multidisciplinary clinical education sub-faculty of fundamental medicine faculty of Lomonosov
Moscow State University; Head of research programs and innovation technologies department of Medical Research and
Education Center of Lomonosov Moscow State University [
]
Zhanna A. Akopyan, Ph.D. in Medicine, Associate Professor of multidisciplinary clinical education sub-faculty of fundamental
medicine faculty of Lomonosov Moscow State University; Deputy Director of Medical Research and Education Center of
Lomonosov Moscow State University [
]
Abstract. This article analyzes the main development trends of researches in healthcare sphere in the European
Union (EU). It shows how the innovative approaches and the new technologies (personalized medicine, electronic and
mobile healthcare) contribute to high level and quality of life, to well-being of the population and protection from the
consequences of demographic changes. It was made a conclusion that the development of medical science, contributing
to the improvement of population’s health was the EU reply to global socio-economical pressures. Moreover, the active
implementation of advanced technologies and innovative products has extended the boundaries of the modern medicine,
increasing effectiveness and modernization of healthcare system.
Key words: healthcare, researches, technologies, innovations, socio-economical pressures, international science
cooperation, «Horizon 2020», EU, personalized medicine, infectious diseases, bio-monitoring, information and
communication technologies in healthcare, «silver» economy.
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